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99 Possible Causes for S4 Gallop, Systolic Murmur

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  • Cardiomyopathy

    gallop due to thickened, non-compliant ventricle Possible murmur from mitral regurgitation Rapidly rising double arterial pulse in the carotid arteries ECG Abnormally deep[amboss.com] A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing.[ncbi.nlm.nih.gov] murmur mitral regurgitation murmur, S 4 Bifid carotid pulse with a brisk upstroke and rapid downstroke Exertional dyspnea and fatigue LV RV failure Functional AV valve regurgitation[merckmanuals.com]

  • Mitral Valve Insufficiency

    […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov] Systolic Murmurs - Mitral Regurgitation You are listening to a typical example of a murmur caused by mitral valve regurgitation.[med.ucla.edu] Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[mountsinai.org]

  • Myocardial Infarction

    Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest.[medical-dictionary.thefreedictionary.com] On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • Mitral Valve Incompetence

    […] present, whereas those without a systolic murmur did not suffer from hemodynamic problems and had satisfactory outcomes.[link.springer.com] […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov] Systolic Murmurs - Mitral Regurgitation You are listening to a typical example of a murmur caused by mitral valve regurgitation.[med.ucla.edu]

  • Tricuspid Valve Insufficiency

    The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[symptoma.com] Phonocardiogram (shows a systolic murmur). Echo (the main method shows the deformation and thinning of the flaps, the formation of new structures, etc.).[vascular.vsebolezni.com] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info]

  • Coronary Ischemia

    . • The physical exam may be entirely unremarkable but may demonstrate an S4 gallop, occasionally an S3 gallop if myocardial infarction is large and leads to significant left[brown.edu] A systolic murmur may occur with acute mitral regurgitation or ventricular/septal defect.[brown.edu]

  • Hypertrophic Cardiomyopathy

    […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com] An early peaking, harsh diamond shaped systolic murmur starts at the beginning of systole and ends well before the second heart sound.[easyauscultation.com] Outflow tract obstruction may cause a systolic murmur at the left sternal edge, radiating to the aortic and mitral areas.[patient.info]

  • Chordae Tendinae Rupture

    A systolic murmur is sometimes heard for the first time after an episode of myocardial ischemia or the occurrence of a myocardial infarction.[jamanetwork.com] Thoracic auscultation revealed a grade V/VI systolic murmur with maximal intensity over the left apex characterized by musical murmur.[pesquisa.bvsalud.org] MVP with MR causes a click with a late-systolic MR murmur.[merckmanuals.com]

  • Anemia

    Signs and symptoms of anemia may include pallor of the skin and mucous membranes, shortness of breath, palpitations of the heart, soft systolic murmurs, lethargy, and fatigability[fpnotebook.com]

  • Acute Myocarditis

    The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]

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